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PETITION FOR PROBATE and GRANTIOF LETTERS
Estate of '!?r-h IC- ,'k- 4-. A~{a. ~-( No. ~-O!5 - 05d-.-Q
also known as To:
Deceased. Register 0 (!;lS for t~e in the
'County of ~ t..~
Social Security No. o q~.. '!o .. Slo'f if Commonw alth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut S named
in the last will of the above decedent, dated 1 , -t'i)~1.f
and codicil(s) dated
Decendent was domiciled at death in
h -(..r last family or ~Jincipal residence at
c...... H . \\ n 11 "
\' (list street, number and muncipality) I
yea" r!. age, died ~I , 1-9 '2.CI.Y ,
at l c.. V\JI.J l , '"let (.
Except as follows, d edent did not marry, was not divorce and did ot have a child born or adopted
after execution of the will offered for probate; was not the victim of a k' ling and was never adjudicated
incompetent:
Decendent at death owned property with estimated values as follows: lo, c>1l o. --
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania f
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsy~ lc;.. c...
sit ted as follows: (" .,
WHEREFORE, petitioner(s) respectfully f the last will and codicil(s)
presented herewith and the grant of letters
theron.
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OATH OF'PERSONAL REPRESE
'. TH OF PENNSYLVANIA "I
-
J SS
Sworn to or ,ub,cdbed {K i;'-l
before me this day of cit;'
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Register l.
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Register of Wills of Cumbe land County
OATH OF PERSONAL REPRESE T A TIVE
COMMONWEAL TH OF PENNSYLVANIA }
SS:
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statements in he foregoing petition are true and
correct to the best of the knowledge and belief of petitioner(s) and that as pers nal representative(s) of the above
decedent petitioner(s) will well and truly administer the estate according to la
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Sworn to or affirm~ anctJ;ubscribed {
Before:; this \ -S \ day of [J)
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. \. . ' I.J..'0St ~~ister No.2-i-OS -05,;tq
Estate of b..R... , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ILj 20()5 , in considera ion of the petition on the reverse side
hereof, satisfactory oofhaving been presented before me, IT IS DECREED hat the instrument(s), dated
\'{ 'S.er-+ 2.c%I' , described therein be admitted to probate led of record as the last will of
Po.. +V-,' c. \ c.. ~ iA ~ c..... \"'.c.. ; and Letters are hereby granted to
FEES 4
Probate, Letters, Etc. .".,..".". $ d.loO .&'J - S--S7 t ~
Will,............................ .... $ 15.00
Renunciation...., .... .. . .. . .. . .. .., $ CSt. ~Hll\
Short Certificates ( )....,.... .. . $ \lo . CD
lCP....."......".,....,.......,..., $ Address -) ft4
Automation Fee..........,........ $ ..l[ 5005.00
Baml.Cu.t:"::~~~\ ,~.,. ,'.... $ 170 II
Total $ 717-
FiledF /4- 20()5
Phone
,
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESE T A TIVE
COMMONWEALTH OF PENNSYLVANIA }
SS:
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and
correct to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and truly administer the estate ace to law.
Sworn to or affirmed and s~cribed { .
Before me this 9 ? of [J)
Jv~ ,20 t) QQ'
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~"'0 a'j ~ egister
No.r21-05 -Q5J.Q
Estate of , Deceased c..:
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DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW \4- 20~, in considera ion of the petition on the revers~~ide
hereof, satisfacto proof having been presented before me, IT IS DECREED hat the instrument(s), dated
, described therein be admitted to probate led of record as the last will of
; and Letters are hereby granted to cJ:OL
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Register ofWills~/l .Q
FEES c2&>o . d\:) ~
Probate, Letters, Etc. ""...,.".. $
Will ................................. $ 1500 Attorney (Sup, Ct. I.D. No.)
Renunciation.."."."..".,..,.., . $
Short Certificates ( ).. .... .. .. .. $ llo.0('J
JCP,.....,......,.................... $ \D.~ Address
Automation Fee.........,......... $ 5.cO
~\..~ffi\-?.I.~..,..... ,.. $ dO 00
Total $ &<0 00 I
Filed~ II.{ 20 05 Phone
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Thi.., is to certify that the information here given is correctly copied from an origi al certificate of death duly filed with me as
LOLLI Registrar. The original certificate will be forwarded to the State Vital Reco s Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photo tat or photograph.
Fee for this certificate. $6,00 ~ /J? ~H
Local Registrar
p 11335t':55 MAR 21 Z005
No. Date
43 Rev. 2187 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VI AL RECORDS 1... ~~~,
CERTIFICATE OF DEATH
SEX DATE OF DEATH iMomh. Day, '..,
4, O~- \ lc - d.-OO.5
UNDER 1llA't BlRTHPLACI; (CiIy """ see insIrucbQns on othef 9lde)
0 Houro 1 ....... Stale Of ForelQll Coun'fYl
19 0 llOAo g::dylo
Yra. 0
. 5. 0
COUNTY OF DeATH RACE - Amencan Indian. BIKk. Whit.. eIc::.
Cumberland (~l
. white
.... ,D.
DECEDENT'S USUAl OCCUPlmON MARITAL STATUS. Married SURYlYING SPOUSE
(~:n~~:O~u:r~~ Nev... Married. WIdowed. Iff WIle, QlYe maiden nwne~
""""*' ~dy)
. 11.. Homemaker 11b. Domestic widowed
DECEDENT'S MAILING ADDRESS (SIr.... cdylTown. SIato. Lop Codel DECEDENT'S
. 15 Country Club Place West ACTUAL .....
RESIDENCE
Camp Hill, PA 17011 (See lnstruclions
on 0Ch8f SIde) Cumberland ('0-
,.. 17b. Coun , ...-
FATHER'S NAME IF.,st. Middle. Last) MOTHER'S NAME (First. t"tidde. M
1.. Frank Osborn ,.. Genevieve
INFORMANT'S NAME (TYpe/Print) INFORMANT'S MAILING ADORE
200, Jill A. McCabe 2011.1610 Potato
METHOO OF DISPOSITION PLACE OF DISPOSITION. N..... of
. IlurioJ Ga C'.....lion 0 Romovll lrom Stal. 0 or Other Place
Olhor (Spec",,' Indiantown 17003
21c.
RSON ACTING AS SUCH
23L
TIME OF DElJH ORE PRONOUNCED DEAD (Month. Day, Year)
2:00 PM ... March 16, 2005 NoC{
24. 25.
27. PAIIT I: Enter the diMuH, tnjuries Of compJicaUo.... which caused lhe death. Do noc enter lhe mode of dying, such as carc:Nc Of respiratory arrest, shock 01 heart failure. PART U: 0Ih0f oignifIcanf""-" C>OnIrblIlng 10 _. but
Liar only one cause on each line. en to f'\ ""'.........In......-oy;ng _ _In PART I.
.. {d^
Sequentidy.... ~ion. I'
H any, IMdIng 10 immediate DUE 10 (OA AS A CONSEQUENCE 0Fj, I
cauM. Enl., UNDEALYINQ I
. CAllSI! (Dooaua Of ,",",V C. I
. .. lhaIinitiaIed....... DUE 10 (OA AS A CONSEQUENCE 0Fj, I
'~in_)LAST I
d.
WERE AUlOPSY FINDINGS MANNER OF DEATH DATE OF INJURY TIME OF INJU Y INJURV IQ' WORK? DESCRIBE HOW INJURY OCCURRED.
-'U\8LE PRIOR 10 (Monlh. Day, Year)
COMPLETION CY CAUSE '0 0
OF DEArH? ~Iur" Homicide 0 NoD
0 0 Vas
Accide,. Pending Investlgalion
No~ ,,"0 No~ Suicide 0 Could not be determined o PLACE OF INJURY. At home. farm~~Ht, fact
bu*ing, ele. (Speedy)
... :leb. 29. 300.
CERTIFIER (Check only onel
.CERTIFYING PHYSlClAN (Phvsoan cerUfying cause 01 death whan ano&hef phYSIC.an has pronounced death ana completed Ilem 23) 0
Tolhebealotmylcnowtedge, deatltoccul"Nd due 10 the c.u--C:.) and menner...tated. ..,..."....,.".,......"........,.......,..,.....,
.PfIONOUNCING AND CERTIFYINQ PHYSICIAN (Physician both ptOf"lOUnclll<<J dedlh and CertifyIng to cause 01 death)
To the bNI otmy knowledge. deathoceurrecla' the Urne, date, and piKe, and due to the cauH(a) andmenner...taled........."....,..,.......
'MEDICAL EXAMINER/CORONER
On the baal. of ...mlnaUon andlor inv.atlgatlon. In my opinion, death occurred a' the tlm., da'., and plac., and dUI'o the c.ua.(a) and
manner a. .t.ted., . . . . . . . . , . , , . . . . . . . . . . . . , , , . . . . , , . . . . . . , . . , . . . . . . . . . , . . . . . . . , , . . . , . . . . . , , . . . . . . . . . . . . . , , . , . . . . . .
318.
REGISTRAR'S SIGNATJ,l1'jE AND NU~ l??1 / .ptl / ( I
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34.
LAST WILL AND TI ~T AMENT
OF
PATRICIA ANN iCCABE
T, PATRICIA ANN McCABE of the Township o~ Ea,l Pennsboro, qllllber1lllld County,
Pennsylvania, declare this to be my Last Will and revoke any w II or codicil previously made\.by me.
ITEM 1: Upon my demise, I direct that my bod f,r be buried with my late husband in Fort
Indiantown Gap National Cemetery, Annville, Lebanon County Pennsylvania.
ITEM 2: I direct that all my just debts and fum ral expenses be paid as soon as practical
after my death.
ITEM 3: I direct that all taxes and interest and penalties thereon that may be assessed in
consequence of my death, of whatever nature and by whateve jurisdiction imposed, shall be paid from
,
~ my residuary estate as a part of the expense of the administratio p of my Estate.
ITEM 4: I give, devise and bequeath all the re! , residue and remainder of my estate of
tJ
~gs every nature and wheresoever situate, together with insurance tl ereon, as follows:
~
J~ A. Fifty Percent (50%) unto my daughter, JILL ANN McCABE. In the event Jill Ann
McCabe predeceases me or is not living thirt: (30) days after the date of my death, I
~~
give, devise and bequeath her share unto my so , JOHN H. McCABE, JR.; and
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~~ B. Fifty Percent (50%) unto my son, JOHN H. :tv cCABE, JR., or if he is not living at the
time of my demise than to his issue, per stirpes
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ITEM 5: Until distributed, no gift or beneficial nterest shall be subject to anticipation or
voluntary or involuntary alienation.
I
ITEM 6: I appoint my children, JILL ANN Mc ABE and JOHN H. McCABE, JR. as Co-
Executors of this my Last Will.
ITEM 7: I direct that my personal representativ or their successors shall not be required
to give bond for the faithful performance of their duties in any j
IN WITNESS WHEREOF, I have hereunto set my and and seal to this, my Last Will and
Testament, this /1 day of ~;U,~
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Signed, sealed, published and declared by the above- amed Testatrix as and for her Last Will
and Testament in our presence, who, at her request, in her pr sence and in the presence of each other,
have hereunto subscribed our names as attesting witnesses.
2~~~ Jc{ (] - It (.{J. / 'J /;v,/("l /f;../
residing at ,It p (.. e{ ~1-7 1<.... t:v(.< ;:;'4 / /e' ::'-j .-
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~ J 1;" residing at
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COMMONWEALTH OF PENNSYLVANIA )
) ss:
COUNTY OF CUMBERLAND )
L)~i ;VI .J
We, PATRICIA ANN McCABE, ,:Jtt-( c" (1 e.- , and
111H It D J (.. f"1 CJ<- , the Testatrix and the witnesses respectively, whose names are
signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the
undersigned authority that the Testatrix signed and executed th instrument as her Last Will and that she
had signed willingly, and that she executed it as her free a d voluntary act for the purpose therein
expressed, and that each of the witnesses, in the presence and earing of the Testatrix, signed the will as
witness and that to the best of his or her knowledge, the Testa ix was at the time eighteen (18) years of
older, of sound mind and under no constraint or undue influenc
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Subscribed, sworn and acknowledged before me /-! L t. I]-L by PATRICIA ANN
McCABE, the Testatrix, and subscribed and sworn to before me by
L SA H'~!4<t dJ'J I) l- and ,A'111 c.. f1. , the witnesses, this
/7-14 day of .JtjPLb~ ,2004,
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Glenda Farner Strasbaugh
Register of Wills & One Courthouse Square
Clerk of the Orphans' Court Carlisle, Pa. 17013
Marjorie A. Wevodau (717) 240-6345
First Deputy FAX (717) 240-7797
Kirk S. Sohonage, Esquire
Solicitor OFFICES OF
l\egister of MiUs anb ((lerk of !be e bans' ((ourt
Q[:ountp of Q[:umbrrlanb
May 31, 2005
Monroe County Surrogate Court
Attn: Chief Clerk William Brongo
County Office Building
39 W. Main Street
Rochester, NY 14614
IN RE: Estate of Patricia McCabe
Dear William:
Enclosed please find a Commission to Take Oath, Peti ion for Probate and Grant
of Letters and a copy of the decedent's Last Will and Testame t for the above estate.
If you would please advise Mr. John H. McCabe, Jr. w en he can appear before
the Probate Court to execute the oath, it would be appreciated. His telephone number is
585-248-0503.
I have also enclosed a return envelope for the Petition or Probate and Grant of
Letters,
If you have any questions or concerns, please feel free 0 call.
RI::~ ~tr
Glenda Farner Strasbaug
Register of Wills and CI rk of Orphans' Court
Enclosures
,
Glenda Farner Strasbaugh
Register of Wills & One Courthouse Square
Clerk of the Orphans' Court Carlisle, Pa. 17013
Marjorie A. Wevodau (717) 240-6345
First Deputy FAX (717) 240-7797
Kirk S. Sohonage, Esquire
Solicitor OFFICES OF
l\egister of .ills anti ((lerk of tbe ~ bans' ((ourt
(lCountp of (lCumbrrlanb
State ofPennsyhania ss:
County of Cumberland
BE IT REMEMBERED, that I, Glenda Farner Strasba gh, Register of Wills of
Cumberland County, Pennsylvania, do hereby commission yo , William Brongo, Chief
Clerk of Monroe County or one of your Deputies, to administ r the Oath of Swearing in
the Executor of the Estate of Patricia A. McCabe, late of Cum erland County. Said Will
bearing the date of September 17, 2004; a copy hereunto attac ed. By virtue of the Act of
Assembly approved July 11, 1917, P.L. 803.
IN TESTIMONY WHEREOF, I have here unto set m hand and affixed my seal
the 27th day of May, 2005.
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